Kevin Shank, is a
Counselor - Addiction (substance Use Disorder) based in Portland, Oregon. Kevin Shank is licensed to practice in Oregon (license number 23-11-30089) and his current practice location is
33 Nw Broadway, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 944-4410.
NPI number for Kevin Shank is 1760867659 and his current mailing address is 10759 Sw Heron Cir, Beaverton, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760867659.
Healthcare Provider's Profile
| Full Name | Kevin Shank |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 33 Nw Broadway, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760867659
- Provider Enumeration Date: 07/21/2015
- Last Update Date: 12/01/2025
Medical Identifiers
Medical identifiers for Kevin Shank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760867659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | L17410 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23-11-30089 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Shank is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Shank,
10759 Sw Heron Cir,
Beaverton, OR 97007-8353
Ph: () - | Kevin Shank,
33 Nw Broadway,
Portland, OR 97209-3580
Ph: (503) 944-4410 |
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